Active NPI
Dolores Faviola Paredones, NP
- Acute Care Nurse Practitioner
- Covina, CA
National Provider Identifier
1225389224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 21726
- Practice address
- 315 N 3Rd Ave Ste 207
Covina, CA 91723-1917 - Phone
- (626) 915-4700
- Fax
- (626) 214-7814
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 21726 | CA | Primary |
Addresses
Primary practice location
315 N 3Rd Ave Ste 207
Covina, CA 91723-1917
Mailing address
3452 E Foothill Blvd Ste 130
Pasadena, CA 91107-6006
Phone (626) 793-2855
Other practice location 1
315 N 3rd Ave Ste 207
Covina, CA 91723-1917
Phone (626) 915-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21726 | CA | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- dolores.paredones.p166@direct.healthcarepartners.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1790864213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1225389224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 E FOOTHILL BLVD STE 130",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076006",
"telephone_number": "626-793-2855",
"fax_number": "626-793-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N 3RD AVE STE 207",
"city": "COVINA",
"state": "CA",
"postal_code": "917231917",
"telephone_number": "626-915-4700",
"fax_number": "626-214-7814"
}
],
"practiceLocations": [
{
"address_1": "315 N 3rd Ave Ste 207",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917231917",
"country_code": "US",
"telephone_number": "626-915-4700",
"fax_number": "626-214-7814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAREDONES",
"first_name": "DOLORES",
"middle_name": "FAVIOLA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "21726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.